一例伴有难治性充血性心力衰竭的非典型主动脉缩窄——腋-髂动脉搭桥治疗

A case of atypical aortic coarctation with refractory congestive heart failure--treatment with axillo-iliac artery bypass.

作者信息

Nakao K, Shibata J, Kikutake S, Nagata T, Uraguchi K, Hidaka Y, Imaizumi T

机构信息

Division of Cardiology, Yame General Hospital, Japan.

出版信息

Clin Cardiol. 1998 Jul;21(7):523-4. doi: 10.1002/clc.4960210714.

DOI:10.1002/clc.4960210714

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6655451/

Abstract

Coarctation of the aorta is rare. We present a case of atypical coarctation due to aortitis syndrome with congestive heart failure refractory to conventional medical treatment. Although indications for surgical treatment are not well established and, in general, treatment of choice is an aorto-aortic bypass, we selected axillo-iliac bypass with subcutaneous tunnel because of severe heart failure. Postoperatively, the pressure gradient disappeared and heart failure was improved.

摘要

主动脉缩窄较为罕见。我们报告一例因大动脉炎综合征导致的非典型主动脉缩窄病例，该患者伴有对传统药物治疗无效的充血性心力衰竭。尽管手术治疗的指征尚未明确确立，且一般而言，首选的治疗方法是主动脉 - 主动脉旁路移植术，但由于严重心力衰竭，我们选择了经皮下隧道的腋 - 髂动脉旁路移植术。术后，压力梯度消失，心力衰竭得到改善。

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本文引用的文献

1

[Surgical management of aortitis syndrome associated with aortic coarctation].

Nihon Kyobu Geka Gakkai Zasshi. 1983 Nov;31(11):2064-8.

2

Coarctation of the abdominal aorta.腹主动脉缩窄

Ann Vasc Surg. 1988 Apr;2(2):138-44. doi: 10.1016/S0890-5096(06)60796-6.

3

Axillofemoral bypass: outcome and hemodynamic results in high-risk patients.腋股动脉搭桥术：高危患者的治疗结果及血流动力学结果

J Vasc Surg. 1992 Jun;15(6):952-62; discussion 962-3.

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